Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Matilda Jessome death at North Sydney, Cape Breton County on April 25, 1971
Female Death Registration: Year: 1971 number: 3029
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003029
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St Elizabeth Hospital
3. PRINT NAME OF DECEASED Jessome, Mary Matilda
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 19, 1883
10. AGE in Years88 Months1 Days6 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father James King
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Alice Devoe
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James Power
address Bras d'Or
Relationship to deceased Grand Nephew
21. Place of burial St. Joseph's, Bras d'Or, NS
Date of burial April 28, 1971
22. Undertaker George R Francis, Sydney Mines, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 25, 1971
CAUSE OF DEATH
(a) Acute left ventricular failure
(b) hypertension
(c)
other
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